Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.96 / $1,882.00 / $5,405.00	Facility		$911.96	$1,882.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.96 / $1,336.34 / $1,764.57	Professional		$911.96	$1,336.34	$1,764.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $3,090.92	Professional		$120.00	$345.40	$3,090.92
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,554.76 / $2,195.44 / $3,725.40	Professional		$1,554.76	$2,195.44	$3,725.40